National Provider Identifier [NPI]: |
1831262716 |
Last Name Of The Provider |
WOODS |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
862 MEINECKE AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SAN LUIS OBISPO |
Zip Code Of The Provider |
934051721 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
2759 |
Number Of Medicare Beneficiaries |
669 |
Total Submitted Charge Amount |
765022 |
Total Medicare Allowed Amount |
367304.24 |
Total Medicare Payment Amount |
276697.24 |
Total Medicare Standardized Payment Amount |
277872.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
436 |
Number Of Medicare Beneficiaries With Drug Services |
205 |
Total Drug Submitted ChargeAmount |
55637 |
Total Drug Medicare AllowedAmount |
31140.6 |
Total Drug Medicare PaymentAmount |
24142.58 |
Total Drug Medicare Standardized Payment Amount |
24142.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
2323 |
Number Of Medicare Beneficiaries With Medical Services |
669 |
Total Medical Submitted Charge Amount |
709385 |
Total Medical Medicare Allowed Amount |
336163.64 |
Total Medical Medicare Payment Amount |
252554.66 |
Total Medical Medicare Standardized Payment Amount |
253730.3 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
300 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
431 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
621 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
624 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.949 |